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    Practice DPC

    DPC Open Enrollment: A Clear Patient Message

    5 min read
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    Dr. Nettleman working at a laptop in a FreedomDoc Health exam room

    During open enrollment, a DPC practice should separate three questions: what the membership includes, what a patient's insurance covers, and who can answer individual coverage questions. A clear explanation of your practice is useful. A promise about someone else's insurance is not.

    On October 30, CMS announced that the HealthCare.gov open enrollment period for 2027 runs from November 1, 2026 through January 15, 2027. Those are HealthCare.gov dates; direct people to their own Marketplace for the deadlines that apply to them.

    The closing date is not the deadline for every coverage start date. HealthCare.gov's dates and deadlines set December 15 as the enrollment deadline for January 1 coverage, which also requires the first premium payment. Have patients confirm their own Marketplace and insurer requirements.

    For a DPC owner, I would use this moment to review the patient conversation, not launch a campaign telling everyone to buy a particular insurance plan. This is about explaining an existing membership during plan shopping, not announcing a practice conversion or giving HSA advice.

    What should your team explain first?

    Start with the agreement patients are actually being asked to sign. Our explanation of DPC membership describes a recurring fee for defined primary care services, not health insurance. That distinction needs to survive the headline, the phone call, and the enrollment form.

    Before publishing a message, confirm:

  1. The current membership fee, any enrollment charges, and cancellation terms.
  2. Which visits, communication options, and services are included.
  3. Which services carry separate charges or fall outside the practice.
  4. The appointment and response expectations your team can actually meet.
  5. Do not fill those gaps with attractive phrases such as "everything is included" or "you will never need urgent care." A reader should be able to understand the offer without guessing what the small print takes away.

    What can the front desk say about insurance?

    I would give the team a short explanation to adapt after checking the practice's actual agreement:

    "Our membership pays for the primary care services listed in our agreement. It is not health insurance and does not pay for care outside that agreement. We can explain our fees, services, and contact options. For questions about a particular insurance plan, its network, or its coverage rules, please confirm the details with the insurer or a Marketplace assister before enrolling."

    That is a starting point for a practice-approved message, not a universal script or legal template. Confirm state-specific agreement and marketing requirements with counsel.

    If someone asks, "Why would I pay for both?", answer the question directly. Explain what the membership adds for that person and what it does not replace. Let the patient decide whether that experience is worth the additional fee. Do not claim that joining will lower their total healthcare spending.

    What belongs in the patient's plan comparison?

    HealthCare.gov's plan-comparison guidance asks people to consider premiums, out-of-pocket costs, and plan networks. It also explains how to check doctors, facilities, and prescriptions when comparing plans.

    Your membership fee belongs alongside those costs, not in place of them. Do not assume it satisfies a deductible or guarantees access to a specialist in a particular network. When a question depends on the policy, hand it to the insurer or use HealthCare.gov's local assistance directory.

    Keep this Marketplace conversation separate from Medicare enrollment and from individualized tax or insurance advice. The practice can explain its own services without choosing coverage for a patient.

    How do you turn the message into a useful next step?

    Put the approved membership explanation where someone can read it before starting an inquiry. Give the front desk the same version, name the person responsible for answering follow-up questions, and test the next step on a phone.

    Then record what happens: an inquiry, a completed membership enrollment, and a patient who remains enrolled are different outcomes. Ask what prompted the inquiry and which membership question remains unanswered. Keep medical details out of marketing forms and use the practice's approved clinical communication process when needed.

    The broader DPC marketing framework covers channel selection and measurement. For this season, I would start with whether a prospective member understands the offer and gets a useful response.

    Where does Freedom Healthworks fit?

    A clear message is the first step. Someone still needs to answer the inquiry, explain the membership, and help the person take the next step. Freedom Healthworks connects selected marketing work with inbound follow-up and practice operations within the agreed partnership scope. Content production and email marketing can require separately scoped add-ons; they are not automatically included in every tier. The physician still approves practice-specific services and access commitments.

    Bring your current membership explanation and the questions your team cannot answer to a practice consultation. We can discuss the operating responsibilities and support that fit your practice, without promising a patient count or recommending an insurance plan.

    Sources rechecked November 13, 2026. This is practice-operating guidance, not individualized insurance, tax, or legal advice.

    DPC marketing
    Patient communication
    Open enrollment
    CH

    CEO, Freedom Healthworks

    Christopher Habig is CEO of Freedom Healthworks and host of the Healthcare Americana podcast. He works with physicians launching and operating independent, physician-owned practices.

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